Individual
AMANDA LOUISE MONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EMT-B
Contact information
Practice address
5044 42ND ST UNIT 2, SUNNYSIDE, NY 11104-3128
(845) 490-8863
Mailing address
5044 42ND ST UNIT 2, SUNNYSIDE, NY 11104-3128
(845) 490-8863
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
08/29/2019
Last updated
07/27/2022
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